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a�s-�aaoozo City of Zephyrhills Permit Application Fax-813-760.0021 ' <br /> ' Building Department <br /> : <br /> Date Received C� � � � Q _ l(��� <br /> Phone Contact for Permitting � <br /> Owners Name /V e Owner Phone Number B <br /> Owners Address �/��! �O�L G Owner Phone Number <br /> I <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address • <br /> JOB ADDRESS l0 ! I� Q G . �•��� LOT# I L�L <br /> SUBDIVISION O � Oo PARCEL ID# 8 � ^aI' O— Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e rvEW coNSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER W 1/1, 6 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � C � i �O � I � ��� <br /> i <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � •`$ <br /> �O✓ <br /> 0 BUILDING $ y'j/ VALUATION OF TOTAL CONSTRUCTION �\ <br /> ��/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> i QPLUMBING $ �� a� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V/�lU GY f J <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER V �v �\� `� <br /> FINISHED FLOOR ELEVAT F D ZONE AREA . DYES NO \'(7) f�� 'l �'" � <br /> v �v <br /> BUILD R 1 (�•S C PANY F/'OlipAp�'Q iWG�OW <br /> SIGN TURE REGISTERED Y/ N FEE CURRE� Y/N <br />, A u +� 6 U, t /V ��14 w 2 License# �+GC ���7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construdion. <br />� Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Startnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely � <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />